FAQs on Coronavirus Health Insurance


FAQs on Coronavirus Health Insurance

Most Frequently Asked Questions About Coronavirus Health Insurance

1) Which Products from Care Health Insurance cover Treatment Expenses for Coronavirus?

Our *indemnity based products such as Care, Care Freedom, Care Global, Care Senior, Care POS, Enhance, Care Heart, Joy, and customised Group products with IPD benefit cover hospitalisation based treatment for corona virus. Furthermore, our *Travel Insurance products – Explore and Student Explore also offer the same coverage.

2) Which Care Products don’t Cover Corona Virus?

Some of our products that do not extend coverage for corona virus-related treatment expenses are Assure, Secure, Cancer Mediclaim, Critical Mediclaim, Super Mediclaim, Heart Mediclaim, and Operation Mediclaim.

3) What is the Admissibility Criteria for Customers?

The admissibility of the claim is basis current management protocols for treatment, evaluation, and quarantine of a confirmed or suspected case on certification of a qualified medical specialist, for the treatment extended at a centre recognised to offer the treatment.

4) Is Cashless & Reimbursement Facility Covered? Is Home Care Covered?

Both cashless and reimbursement facilities are applicable. Cashless facility is available only at empanelled network hospitals.

No, Homecare or related treatment expenses are not covered under the in-patient hospitalisation benefit.

5) Will the Evaluation Period be Covered?

As per current protocol, quarantine is recommended, and expenses towards the same shall be payable under the IPD benefit as per the policy terms and conditions.

6) What if the Evaluation Report Results in Negative, will the Insurance Company still Honour the Claim?

No. We will not process the claim if the evaluation report results in negative.

7) Are Isolation Charges Part of my Coverage?

Yes, provided this is post advice of a registered medical practitioner and at a facility that’s approved for carrying out treatment for Coronavirus cases.

8) In Case of a Corporate Policy can the Corporate Buffer be Used where its Mentioned as Applicable Only for Critical Illness?

No, the same cannot be utilised for uncomplicated Corona virus cases. The benefit will be applicable only when the symptoms or diagnoses pertaining to any of the listed critical illnesses are identified.

9) What is the difference between Quarantine and Isolation for COVID-19?

Isolation involves keeping a sick person or someone affected with COVID-19 away from healthy individuals until symptoms improve. Hospitals and healthcare centres have designated isolation wards for COVID positive patients. COVID positive patients who are self-isolating at home must stay in a separate room, use a separate bathroom, and household items, like utensils and towels.

Quarantine involves separating individuals and restricting the movement if they were exposed to the virus or came in close contact with corona positive person for a minimum of 14 days. It is done to prevent the spread of the disease, and monitor their health and check if any symptoms develop. A person can self-quarantine at home. There are authorised government quarantine facilities for people with a travel history and those in contact with the corona positive person.

10) Is the Quarantine period covered under my policy? 

Yes. Health insurance will cover medical expenses incurred for treatment and/ or quarantine for COVID-19 positive confirmative diagnosis from any government authorised centre.

To Know More About COVID-19 Click Here

*Please read the policy T & C, brochure, and prospectus to know more about our health insurance plans cover as it may vary.

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